| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,296 |
3,223 |
$241K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,351 |
1,324 |
$129K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,402 |
4,198 |
$110K |
| V2020 |
Frames, purchases |
4,947 |
4,642 |
$94K |
| 92250 |
|
2,100 |
2,054 |
$89K |
| 92015 |
Determination of refractive state |
5,184 |
5,075 |
$51K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
709 |
657 |
$41K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
434 |
422 |
$22K |
| 92285 |
|
1,712 |
1,685 |
$21K |
| 92083 |
|
287 |
283 |
$9K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
107 |
107 |
$6K |
| 92133 |
|
240 |
240 |
$5K |
| 76514 |
|
1,003 |
990 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
90 |
$350.53 |
| 92020 |
|
26 |
26 |
$245.37 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
432 |
366 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
169 |
154 |
$0.00 |
| 1036F |
|
207 |
185 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
388 |
330 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
430 |
367 |
$0.00 |
| 2026F |
|
37 |
29 |
$0.00 |